Healthcare Provider Details

I. General information

NPI: 1710324884
Provider Name (Legal Business Name): SCOTT BLUMENFELD MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 GATEWAY BLVD W SUITE140
EL PASO TX
79925-7934
US

IV. Provider business mailing address

1111 LOS JARDINES CIR
EL PASO TX
79912-1944
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-7300
  • Fax: 915-833-3509
Mailing address:
  • Phone: 152-046-6919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberH7908
License Number StateTX

VIII. Authorized Official

Name: DR. SCOTT BLUMENFELD
Title or Position: PRESIDENT
Credential: MD
Phone: 915-204-6691